Tarik A Ali, PROVIDER
Tarik A Ali, PROVIDER is a Driver in Wethersfield, Connecticut. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
12 Wilcox StWethersfield, CT 06109-1250
Phone: (860) 328-9450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1376173609 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PROVIDER |
| Sole proprietor | No |
| NPI enumerated | January 26, 2020 |
| Last updated in NPPES | January 26, 2020 |
| Certification date | January 26, 2020 |
| Mailing address | 12 Wilcox St, Wethersfield, CT 06109-1250 |